Organization
BOISE ENT, LLC
Active
Other names
Donald J Beasley Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J BEASLEY MD (OWNER)
(208) 229-2368
Entity
Organization
Contact information
Practice address
8854 W EMERALD ST STE 150, BOISE, ID 83704-4844
(208) 229-2368
Mailing address
8854 W EMERALD ST STE 150, BOISE, ID 83704-4844
(208) 229-2368
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
05/14/2026
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